Organizational and professional impacts on dealing with ignorance. An empirical investigation of clinicians, nurses and resident physicians

更新建议的基础上，已经取得的研究成果，医生处理无知的医院（WI 3706/1-1）的影响因素。这项建议的目的是从社会学角度调查和重建不同组织和职业的行为者群体。一方面，探讨医院护理人员应对无知的策略。护士仍然属于半专业的职业群体，但他们与医生一样在同一组织工作，即医院。另一方面，分析住院医师无知的应对策略。本研究的目的是探讨员工所采取的策略是否受所属专业或所属组织的影响。 组织对所采用的战略有什么影响？住院医师应用哪些替代策略来克服由于组织框架缺失而导致的无知？（二） 在处理无知时，职业的从属关系有什么影响？医生和护士之间有什么区别吗？职业边界是否因为共同的组织目标而变得不那么重要？（三）、 亚专业（麻醉学与外科学）的成员资格有哪些影响？住院医师和在医院工作的医师是否存在相同的模式，或者组织环境是否是所采取策略的主导因素？除了预期的理论影响，我们将能够制定建议，为日常实践中如何医生和护士可以处理无知的积极方式。

The renewal proposal bases upon the already gained research results about the influencing factors on physician's dealing with ignorance in hospitals (WI 3706/1-1). The aim of this proposal is to sociologically investigate and to reconstruct different constellations of actors in terms of organization and profession. On the one hand, we will investigate the nurses' strategies on dealing with ignorance in hospitals. Nurses still belong to the occupational group of semi-professions but they work in the same organization like physicians, i.e. hospitals. On the other hand we will analyze the strategies on dealing with ignorance of resident physicians. The aim is to find out whether the adopted strategies are dominated by the affiliation to a profession or by the organizational membership.The main research questions are:(1) Which influence has the organization on the adopted strategies? Which alternative strategies do resident physicians apply to overcome their ignorance because of the missing organizational framework?(2) Which influence has the affiliation to a profession on dealing with ignorance? Are there differences between physicians and nurses? Are professional borders less important because of a common organizational goal?(3) Which influence has the membership to a subspecialty (anesthesiology vs. surgery)? Do there exist same patterns in respect of resident physicians and physicians who work at hospitals or is the organizational context a dominant factor on the adopted strategies?Apart from the expected theoretical implications we will be able to develop recommendations for the daily practice on how physicians and nurses can deal with ignorance in a positive way.